A coroner has concluded that a patient who was forced to wait more than four hours in an ambulance outside a hospital did not die because of the delay.
Michael Bowen died at the Princess of Wales Hospital in Bridgend, South Wales, in January.
The coroner, Andrew Barkley, concluded his death was caused by thrombosis of his liver, which led to a seizure.
Recording a narrative verdict, he said: "I don't believe on balance the delay made any significant difference to the ultimate outcome.
"It does not appear the delays, as unsatisfactory as they were, caused or contributed to his death."
He said he was satisfied the Abertawe Bro Morgannwg Health Board had taken steps to ensure similar incidents could not happen again.
The solicitor for Mr Bowen's family said the verdict was not a surprise based on the evidence, and that they drew comfort from the lessons that have been learnt by the hospital.
An inquest into the death of a man who died at Princess of Wales Hospital in Bridgend after waiting four hours in an ambulance has returned a narrative conclusion.
The wait did not cause or contribute to Michael Bowen's death, a coroner ruled.
A patient who died after waiting more than four hours to be admitted to A&E may not have survived if he had been diagnosed sooner, an inquest has heard.
Michael Bowen died at the Princess of Wales Hospital in Bridgend, South Wales in January. He had arrived in an ambulance but there was no room for him at the hospital, the court was told.
He was suffering from complications associated with liver disease, and died following a seizure three hours after finally being admitted.
The consultant on duty, Dr Matthew Jones, was asked if he thought the delay in diagnosis contributed to his death.
"I don't believe so," he said. "If the diagnosis was made earlier, it would not necessarily have made any difference."
A nurse at the hospital where Michael Bowen died says she believed there was "no difference" in the level of care he received after being kept in an ambulance outside hospital.
ITV News' Ben Chapman reports from Mr Bowen's inquest:
Nurse: it is "quite common" for there to be no space in A&E at Princess of Wales Hospital depending on time of year and time of day.
She says she believed the ambulance was "the safest place for him". She says there was "no difference" in level of care to being admitted.
Nurse says she was concerned about capacity issues. "It is a danger to everyone walking through the doors. It puts everyone at risk."
A nurse at the inquest into the death of Michael Bowen - a man who died after waiting in an ambulance outside hospital for several hours - has explained that she made the decision to remove him from accident and emergency as there was "no space" for him.
ITV News' Ben Chapman reports:
Nurse says "there was no space" for Michael Bowen as a major need patient, so she decided to put him back on the ambulance outside.
A senior nurse at the hospital where a man died after waiting in an ambulance for hours has told an inquest her accident and emergency ward was tackling "capacity issues" at the time.
ITV News' Ben Chapman reports:
Nurse in charge in A&E the night before Michael Bowen died says there were "capacity issues" in the hospital overnight.
Nurse says staff tried to manage the problem by using mixed bays, and putting major injury patients into the minor injuries unit.
Nurse: by the time Michael Bowen arrived by ambulance there was a "complete bottleneck" in A&E department.
A verdict is expected following an inquest into the death of a man who died following a four hour wait in an ambulance outside the Princess of Wales Hospital in Bridgend.
58-year-old Michael Bowen was taken to hospital after complaining of difficulty breathing in January.
He was attended to by paramedics in an ambulance for over four hours, but collapsed and died in A&E later that day.
At the time Abertawe Bro Morgannwg Health University Health Board said there were 'delays' in admitting patients due to the business of the emergency department.
The former Chief Executive of Abertawe Bro Morgannwg University Health Board has offered his "profound regret and sincere apologies" following this week's damning report into poor care at Neath Port Talbot and Princess of Wales hospitals.
I was saddened to read the ‘Trusted to Care’ report produced by Professor June Andrews and Mark Butler.
It highlights unacceptable standards of care provided, in particular, to elderly patients. Particularly distressing were the examples of care being given without sensitivity or compassion.
I must offer my own profound regret and sincere apologies. I am sure action will now be taken to ensure rapid, necessary improvement.
A review into two hospitals in south Wales found poor care of older people but denied a "Mid Staffordshire" situation had occurred there.Read the full story ›
The Welsh Government insists new hospital spot checks are a 'direct result' of a report into failings in care for elderly people at two hospitals. Plaid Cymru has called the scheme a 'rehash' of an inspection plan which was announced in 2011.
A Welsh Government spokesperson says:
The spot-checks announced by the Health Minister yesterday are a direct result of the Trusted to Care report about Princess of Wales and Neath Port Talbot hospitals. They will be unannounced, cover every district general hospital in Wales and be carried out by a ministerial team of experts set up for this purpose.
They will focus on four very specific areas of care for older patients highlighted by this report – the delivery of medication, hydration, night-time sedation and continence care – and will be overseen by senior experts in these fields who are independent of the Welsh NHS.
In the six months after these ministerial spot-checks, Healthcare Inspectorate Wales will carry out, and report rapidly, on a new a programme of its well-regarded unannounced dignity and essential care inspections.
These spot-checks and the enhanced follow-up inspection regime by HIW will ensure the standards we rightly expect and demand of our health service are being delivered.